SHAWNTA R RANDALL

PHOENIX, AZ
NPI1184079592
Former NameSHAWNTA R FLATNESS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MT  NUR-RN-LIC-38864)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
-- SHAWNTA R RANDALL
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- SHAWNTA R RANDALL
PO BOX 31001-0698
PASADENA, CA 91110-5319
Phone number: 602-236-1200
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